Dr RIMAN Resus Model™ – Airway

In any medical emergency, the airway represents the very first and most critical link in the chain of survival. Without a clear airway, oxygen cannot reach the lungs — and every second counts. As part of the revolutionary Dr RIMAN Resus Model™, the Airway Module focuses on developing precision, calm, and confidence during high-pressure resuscitation scenarios.

Why Airway Management Matters

Airway obstruction is a leading cause of preventable death in cardiac arrest and trauma situations. Whether it occurs due to tongue obstruction, foreign body, or loss of muscle tone, the ability to recognize and act immediately is what separates chaos from control.

The Dr RIMAN Resus Model™ – Airway teaches healthcare teams that airway management is not just a technical procedure — it’s a team-coordinated life-saving process. It combines clinical accuracy with role clarity, communication discipline, and situational awareness.

The Airway Approach in the Dr RIMAN Model

Under Prof. M Dato’ Dr. Rishya Manikam’s guidance, the Airway component of the model is structured into three key domains:

Assessment – Recognizing airway compromise through observation, responsiveness, and breathing patterns.
Action – Applying evidence-based interventions, from basic airway maneuvers (head tilt–chin lift, jaw thrust) to advanced techniques (OPA/NPA insertion, BVM ventilation, intubation).
Assurance – Confirming airway patency, maintaining oxygenation, and ensuring effective ventilation with continuous monitoring.

Each domain is supported by role allocation — where team members know exactly who leads, who assists, and who confirms — reducing confusion during critical seconds.

Prof. Rishya’s Philosophy: “Airway is Peace of Mind”

“Airway mastery is not about speed; it’s about stability.
Every patient deserves an open path to breathe — and every responder must know how to create it.”
— Prof. M Dato’ Dr. Rishya Manikam

This guiding principle reinforces that airway management begins long before intubation — it begins with anticipation, teamwork, and communication clarity.

Training and Simulation

The Airway module is delivered through high-fidelity simulations that mirror real-life Code Blue events. Participants practice under controlled stress, refining their techniques and decision-making abilities.

Simulation stations include:

Airway positioning and obstruction management
Use of adjuncts (OPA, NPA, BVM)
Rapid sequence intubation drills
Airway confirmation and continuous monitoring

Each session ends with a structured debrief, allowing participants to reflect on teamwork, timing, and task execution — all core tenets of the Dr RIMAN Resus Model™.

Integrating Airway into the Full Resus Framework

In the broader Dr RIMAN Resus Model™, the Airway step integrates seamlessly into the ABCDE algorithm — forming the foundational “A” that enables everything else to follow.

The model ensures that even in high-intensity Code Blue environments, the airway is never overlooked, and every responder moves with clarity and coordination.

Conclusion: The Breath of Life

The Dr RIMAN Resus Model™ – Airway embodies the art and science of emergency medicine. It transforms the airway from a mere procedure into a pillar of preparedness and peace.

Through continuous training, simulation, and leadership, Prof. M Dato’ Dr. Rishya Manikam continues to empower healthcare teams to act decisively, think clearly, and give patients what they need most — a chance to breathe again.